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Good reasons to vaccinate: mandatory or payment for risk?

Mandatory vaccination, including for COVID-19, can be ethically justified if the threat to public health is grave, the confidence in safety and effectiveness is high, the expected utility of mandatory vaccination is greater than the alternatives, and the penalties or costs for non-compliance are pro...

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Detalles Bibliográficos
Autor principal: Savulescu, Julian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7848060/
https://www.ncbi.nlm.nih.gov/pubmed/33154088
http://dx.doi.org/10.1136/medethics-2020-106821
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author Savulescu, Julian
author_facet Savulescu, Julian
author_sort Savulescu, Julian
collection PubMed
description Mandatory vaccination, including for COVID-19, can be ethically justified if the threat to public health is grave, the confidence in safety and effectiveness is high, the expected utility of mandatory vaccination is greater than the alternatives, and the penalties or costs for non-compliance are proportionate. I describe an algorithm for justified mandatory vaccination. Penalties or costs could include withholding of benefits, imposition of fines, provision of community service or loss of freedoms. I argue that under conditions of risk or perceived risk of a novel vaccination, a system of payment for risk in vaccination may be superior. I defend a payment model against various objections, including that it constitutes coercion and undermines solidarity. I argue that payment can be in cash or in kind, and opportunity for altruistic vaccinations can be preserved by offering people who have been vaccinated the opportunity to donate any cash payment back to the health service.
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spelling pubmed-78480602021-02-08 Good reasons to vaccinate: mandatory or payment for risk? Savulescu, Julian J Med Ethics Current Controversy Mandatory vaccination, including for COVID-19, can be ethically justified if the threat to public health is grave, the confidence in safety and effectiveness is high, the expected utility of mandatory vaccination is greater than the alternatives, and the penalties or costs for non-compliance are proportionate. I describe an algorithm for justified mandatory vaccination. Penalties or costs could include withholding of benefits, imposition of fines, provision of community service or loss of freedoms. I argue that under conditions of risk or perceived risk of a novel vaccination, a system of payment for risk in vaccination may be superior. I defend a payment model against various objections, including that it constitutes coercion and undermines solidarity. I argue that payment can be in cash or in kind, and opportunity for altruistic vaccinations can be preserved by offering people who have been vaccinated the opportunity to donate any cash payment back to the health service. BMJ Publishing Group 2021-02 2020-11-05 /pmc/articles/PMC7848060/ /pubmed/33154088 http://dx.doi.org/10.1136/medethics-2020-106821 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/ https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
spellingShingle Current Controversy
Savulescu, Julian
Good reasons to vaccinate: mandatory or payment for risk?
title Good reasons to vaccinate: mandatory or payment for risk?
title_full Good reasons to vaccinate: mandatory or payment for risk?
title_fullStr Good reasons to vaccinate: mandatory or payment for risk?
title_full_unstemmed Good reasons to vaccinate: mandatory or payment for risk?
title_short Good reasons to vaccinate: mandatory or payment for risk?
title_sort good reasons to vaccinate: mandatory or payment for risk?
topic Current Controversy
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7848060/
https://www.ncbi.nlm.nih.gov/pubmed/33154088
http://dx.doi.org/10.1136/medethics-2020-106821
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